臺灣長期照顧實作指引(TW LTC IG)
1.1.0 - STU 1.1.0

臺灣長期照顧實作指引(TW LTC IG) - Local Development build (v1.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: 居家護理照護計畫範例 - JSON Representation

Raw json | Download

{
  "resourceType" : "CarePlan",
  "id" : "hn-careplan-example",
  "meta" : {
    "profile" : [
      🔗 "http://ltc-ig.fhir.tw/StructureDefinition/HNCarePlan"
    ]
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>陳明慧的居家護理照護計畫：降低跌倒風險。原措施為每日檢查走道障礙物，已停止並改採個別移位協助措施。照護者應依護理人員指導執行。</p></div>"
  },
  "extension" : [
    {
      "url" : "http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode",
      "valueReference" : {
        🔗 "reference" : "EpisodeOfCare/hn-episode-example"
      }
    },
    {
      "url" : "http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm",
      "valueReference" : {
        🔗 "reference" : "QuestionnaireResponse/hn-targets-example"
      }
    },
    {
      "url" : "http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm",
      "valueReference" : {
        🔗 "reference" : "QuestionnaireResponse/hn-measures-example"
      }
    }
  ],
  "status" : "active",
  "intent" : "plan",
  "category" : [
    {
      "coding" : [
        {
          "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw",
          "code" : "assess-plan"
        }
      ]
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/hn-patient-example"
  },
  "period" : {
    "start" : "2025-12-08"
  },
  "author" : {
    🔗 "reference" : "Practitioner/hn-nurse-example"
  },
  "supportingInfo" : [
    {
      🔗 "reference" : "QuestionnaireResponse/hn-casesummary-example"
    }
  ],
  "goal" : [
    {
      🔗 "reference" : "Goal/hn-goal-example"
    }
  ],
  "activity" : [
    {
      "extension" : [
        {
          "extension" : [
            {
              "url" : "date",
              "valueDate" : "2025-12-09"
            },
            {
              "url" : "reason",
              "valueString" : "改採個別移位協助措施"
            },
            {
              "url" : "nurse",
              "valueReference" : {
                🔗 "reference" : "Practitioner/hn-nurse-example"
              }
            }
          ],
          "url" : "http://ltc-ig.fhir.tw/StructureDefinition/ExtHNMeasureStop"
        }
      ],
      "outcomeReference" : [
        {
          🔗 "reference" : "QuestionnaireResponse/hn-evaluations-example"
        }
      ],
      "detail" : {
        "goal" : [
          {
            🔗 "reference" : "Goal/hn-goal-example"
          }
        ],
        "status" : "stopped",
        "scheduledPeriod" : {
          "start" : "2025-12-08"
        },
        "description" : "每日檢查走道障礙物"
      }
    }
  ]
}